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    <title>自 评 量 表（SAS）</title>
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  		<h2><font face="黑体">自 评 量 表（SAS）</font></h2>
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				<div style="font: 黑体; text-indent: 20pt">下面有二十条文字，请仔细阅读每一条，把意思弄明白，然后根据你最近一星期的实际感觉，在适当的方格里划一个勾，每一条文字后有四个方格，<b>A B C D分别表示：</b></div>
				<div style="font: 黑体; text-indent: 20pt">A没有或很少时间&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; B小部分时间&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; C相当多时间&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;  D绝大部分或全部时间</div>
				<div style="font: 黑体; text-indent: 20pt"><b>E由工作人员评定</b></div>

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			    	<span style="width:50px; text-align:center">A</span>
			    	<span style="width:50px; text-align:center">B</span>
			    	<span style="width:50px; text-align:center">C</span>
			    	<span style="width:50px; text-align:center">D</span>
			    	<span style="width:80px; text-align:right">E</span>
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			    	<span style="width:300px">1．我觉得比平常容易紧张或着急</span>
			    	<s:radio name="b159" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">1</span> 
			    	<s:radio name="b159" list='#{5:""}' />
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			    	<span style="width:300px">2、我无缘无故地感到害怕。</span>
			    	<s:radio name="b160" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">2</span> 
			    	<s:radio name="b160" list='#{5:""}' />
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			    	<span style="width:300px">3、我容易心里烦乱或觉得惊恐。</span>
			    	<s:radio name="b161" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">3</span>
			    	<s:radio name="b161" list='#{5:""}' />	
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			    	<span style="width:300px">4、我觉得我可能将要发疯。</span>
			    	<s:radio name="b162" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">4</span> 
			    	<s:radio name="b162" list='#{5:""}' />
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			    	<span style="width:300px">5、我觉得一切都很好，也不会发生什么不幸。</span>
			    	<s:radio name="b163" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">5</span>
			    	<s:radio name="b163" list='#{5:""}' />
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			    	<span style="width:300px">6、我手脚发抖打颤。</span>
			    	<s:radio name="b164" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">6</span>
			    	<s:radio name="b164" list='#{5:""}' />	
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			    	<span style="width:300px">7、我因为头痛、颈痛和背痛而苦恼。</span>
			    	<s:radio name="b165" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">7</span>
			    	<s:radio name="b165" list='#{5:""}' />
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			    	<span style="width:300px">8、我感觉容易衰弱和疲乏。</span>
			    	<s:radio name="b166" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">8</span>
			    	<s:radio name="b166" list='#{5:""}' />
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			    	<span style="width:300px">9、我觉得心平气和，并且容易安静坐着。</span>
			    	<s:radio name="b167" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">9</span>
			    	<s:radio name="b167" list='#{5:""}' />
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			    	<span style="width:300px">10、我觉得心跳得很快。</span>
			    	<s:radio name="b168" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">10</span>
			    	<s:radio name="b168" list='#{5:""}' />
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			    	<span style="width:300px">11、我因为一阵阵头晕而苦恼。</span>
			    	<s:radio name="b169" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">11</span>
			    	<s:radio name="b169" list='#{5:""}' />
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			    	<span style="width:300px">12、我有晕倒发作，或觉得要晕倒似的。</span>
			    	<s:radio name="b170" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">12</span>
			    	<s:radio name="b170" list='#{5:""}' /> 	
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			    	<span style="width:300px">13、我吸气呼气都感到很容易。</span>
			    	<s:radio name="b171" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">13</span>
			    	<s:radio name="b171" list='#{5:""}' />
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			    	<span style="width:300px">14、我的手脚麻木和刺痛。</span>
			    	<s:radio name="b172" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">14</span>
			    	<s:radio name="b172" list='#{5:""}' /> 	
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			    	<span style="width:300px">15、我因为胃痛和消化不良而苦恼。</span>
			    	<s:radio name="b173" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">15</span>
			    	<s:radio name="b173" list='#{5:""}' />	
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			    	<span style="width:300px">16、我常要小便。</span>
			    	<s:radio name="b174" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">16</span>
			    	<s:radio name="b174" list='#{5:""}' />	
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			    	<span style="width:300px">17、我的手脚常常是干燥温暖的。</span>
			    	<s:radio name="b175" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">17</span>
			    	<s:radio name="b175" list='#{5:""}' />
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			    	<span style="width:300px">18、我脸红发热。</span>
			    	<s:radio name="b176" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">18</span>
			    	<s:radio name="b176" list='#{5:""}' />
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			    	<span style="width:300px">19、我容易入睡并且一夜睡得很好。</span>
			    	<s:radio name="b177" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">19</span>
			    	<s:radio name="b177" list='#{5:""}' />
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			    	<span style="width:300px">20、我做恶梦。</span>
			    	<s:radio name="b178" list='#{1:"", 2:"",3:"",4:""}'  cssClass="radioItem2" theme="simple"/>
			    	<span style="width:75px; text-align:right">20</span>
			    	<s:radio name="b178" list='#{5:""}' />	
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			   	 结果：粗分：<input class="txt" name="b179" type="text" size="6">
			   	 标准分：<input class="txt" name="b180" type="text" size="6">
			  	  结论：<input class="txt" name="b181" type="text" size="6">
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